Vital, Tavia Marie

Vital, Tavia Marie is an individual health care provider with primary practice located at 2560 24Th St Suite 102, Rock Island IL 61201-5357. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Vital, Tavia Marie can be contacted via phone (309) 788-0014.

Contact Information

Primary practice address
2560 24Th St Suite 102 Rock Island IL 61201-5357
Phone: (309) 788-0014
Fax: (309) 793-3092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 041390337 Illinois

Profile Details

NPI number 1508145756
LBN Legal business name Vital, Tavia Marie
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Aug 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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